38D1037325 CLIA NUMBER - PEARL WOMENS CENTER PEARL SURGICENTER

Laboratory Demographics

  • CLIA Code: 38D1037325
  • Facility Name: PEARL WOMENS CENTER PEARL SURGICENTER
  • Facility Address: 120 NW 14TH AVE SUITE 200
    PORTLAND, OR
    ZIP 97209
  • Facility Phone: 503 771-1883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD B. ROSENFIELD
  • NPI Number: 1639360902
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1037325
LAB Type Physician Office
Facility Name PEARL WOMENS CENTER PEARL SURGICENTER
Street 120 NW 14TH AVE SUITE 200
City PORTLAND
State OR
ZIP 97209
Phone 503 771-1883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director RICHARD B. ROSENFIELD

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This page was last updated on: 9/29/2025